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General NPI Number Information
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NPI Number | 1477734911
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Entity Type | Organization
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Legal Business Name | EMERGENCY PHYSICIANS OF CENTRAL TEXAS PA
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Dates
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Enumeration Date | 11/26/2007
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Last Update Date | 11/27/2013
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Provider Practice Location Address
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Address Line | 1401 MEDICAL PKWY
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City | CEDAR PARK
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State | TX
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Zip | 78613-7464
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Country | US
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Telephone | 512-528-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 6300 LA CALMA DR SUITE 200
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City | AUSTIN
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State | TX
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Zip | 78752-3843
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Country | US
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Telephone | 512-452-8533
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Fax | 512-452-9306
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAM S. ROBERTS III
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Credential | MD
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Telephone | 512-452-8533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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